简介: 【摘要】 目的:探讨糖尿病肾病血液透析患者应用预见性护理的效果。方法:选取 2017年 1月 -2019年 1月笔者所在医院 114例糖尿病肾病患者,所有患者均采用血液透析治疗,将其随机分为观察组与对照组,各 57例。对照组给予常规护理,观察组应用预见性护理。比较两组护理效果。结果:观察组低血糖及院内感染发生率分别为 3.51%、 7.02%,均明显低于对照组的 15.79%、 31.58%,差异有统计学意义( P<0.05)。护理后,观察组空腹血糖、餐后 2 h血糖及糖化血红蛋白水平均明显低于对照组,差异有统计学意义( P<0.05)。结论:对糖尿病肾病血液透析患者实施预见性护理,对低血糖与院内感染的发生有积极预防作用,且可提高对患者血糖水平的控制效果,值得推广。 【关键词】 糖尿病肾病 血液透析 预见性护理 低血糖 院内感染 [Abstract] Objective: To explore the effect of predictive nursing in hemodialysis patients with diabetic nephropathy. Methods: from January 2017 to January 2019, 114 patients with diabetic nephropathy in our hospital were randomly divided into observation group and control group, each with 57 cases. The control group was given routine nursing and the observation group was given predictive nursing. The nursing effect of the two groups was compared. Results: the incidence of hypoglycemia and nosocomial infection in the observation group were 3.51% and 7.02%, respectively, which were significantly lower than that in the control group (15.79% and 31.58%) (P < 0.05). After nursing, the levels of fasting blood glucose, postprandial blood glucose and glycosylated hemoglobin in the observation group were significantly lower than those in the control group (P < 0.05). Conclusion: predictive nursing for hemodialysis patients with diabetic nephropathy can prevent the occurrence of hypoglycemia and nosocomial infection, and improve the control effect of blood glucose level, which is worth popularizing.